From Control to Care: Healthcare Leadership in the Age of Artificial Intelligence
DOI:
https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v46i4.1331Keywords:
transformational leadership, hospital management, artificial intelligence, ethics of care, empathy, automationAbstract
Artificial intelligence is redefining hospital management models, shifting control tasks toward automated systems and demanding a new kind of leadership centered on the human dimension of care. This article examines the transformation of leadership in high-complexity hospitals in the context of growing automation, exploring the risks of coercive managerialism and fear-based cultures, and proposing an ethical framework grounded in trust, empathy, and moral responsibility. The study argues that future hospital leadership must act as a reflective counterbalance to algorithmic administration, preserving ethical deliberation and human presence in decision-making. In contexts where technical perfection tends to replace human judgment, to lead will mean to sustain presence, listening, and moral imagination as the foundations of care in the digital era.
Downloads
References
Wenderott K, Krups J, Zaruchas F, et al. Effects of artificial intelligence implementation on efficiency in medical imaging-a systematic literature review and meta-analysis. NPJ Digit Med. 2024;7(1):265. https://doi.org/10.1038/s41746-024-01248-9. DOI: https://doi.org/10.1038/s41746-024-01248-9
Mintzberg H. Managing the myths of health care: bridging the separations between care, cure, control, and community. Oakland (CA): Berrett-Koehler; 2021.
Han BC. La sociedad del cansancio. Barcelona: Herder; 2014.
Goleman D. Liderazgo: el poder de la inteligencia emocional. Barcelona: Kairós; 2019.
World Health Organization. WHO guidelines on mental health at work. Geneva: WHO; 2022 [citado 2026 abr 20]. Disponible en: https://www.who.int/publications/i/item/9789240053052.
6.Susskind R. Tomorrow’s lawyers: an introduction to your future. 2nd ed. Oxford: Oxford University Press; 2020.
West M, Armit K, Loewenthal L, et al. Leadership and leadership development in health care: the evidence base. London: The King’s Fund; 2015 [citado .2026 abr 20]. Disponible en: https://www.kingsfund.org.uk/insight-and-analysis/reports/leadership-development-health-care.
Northouse PG. Leadership: theory and practice. 9th ed.Thousand Oaks (CA): Sage Publications; 2021.
McEntee H, Hielen R. Comunicación oral para el liderazgo en el mundo moderno. Buenos Aires: Granica; 1996.
Bass BM, Avolio BJ. Improving organizational effectiveness through transformational leadership. Thousand Oaks (CA): Sage; 1994.
García Rubiano M. Liderazgo transformacional y la facilitación de la aceptación al cambio organizacional. Pensam Psicol. 2011;9(16):41-54.
Pons Verdú FJ, Ramos López J. Influencia de los estilos de liderazgo y las prácticas de gestión de RRHH sobre el clima organizacional de innovación. Rev Psicol Trab Organ. 2012;28(2):81-98. https://doi.org/10.5093/tr2012a7. DOI: https://doi.org/10.5093/tr2012a7
Edmondson AC. The fearless organization: creating psychological safety in the workplace for learning, innovation, and growth. Hoboken (NJ): Wiley; 2019.
Srivastava UR, Mohaley S. Role of trust in the relationship between authentic leadership and job satisfaction and organizational commitment among Indian bank employees. Am J Ind Bus Manag. 2022;12(4):616-664. https://doi.org/10.4236/ajibm.2022.124033. DOI: https://doi.org/10.4236/ajibm.2022.124033
Schein EH. Organizational culture and leadership. 5th ed. Hoboken (NJ): Wiley; 2017.
Cummings GG, Tate K, Lee S, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. Int J Nurs Stud. 2018;85:19-60. DOI: https://doi.org/10.1016/j.ijnurstu.2018.04.016. DOI: https://doi.org/10.1016/j.ijnurstu.2018.04.016
Kets de Vries MF. The leadership mystique: leading behavior in the human enterprise. 2nd ed. Harlow: Financial Times Prentice Hall; 2006.
Lewin K, Lippitt R, White RK. Patterns of aggressive behavior in experimentally created social climates. J Soc Psychol. 1939;10(2):269-299. https://doi.org/10.1080/00224545.1939.9713366. DOI: https://doi.org/10.1080/00224545.1939.9713366
Berardi F. Fenomenología del fin: sensibilidad y mutación conectiva. Buenos Aires: Caja Negra; 2025.
Baiocco S, Fernández-Macías E, Rami U, et al. The algorithmic management of work and its implications in different contexts. Ginebra: International Labour Organization; Jun 2022 [citado 2026 jul 27]. Disponible en: https://www.ilo.org/publications/-algorithmic-management-work-and-its-implications-different-contexts.
Harari YN. 21 lecciones para el siglo XXI. Barcelona: Debate; 2018.
Laloux F. Reinventar las organizaciones: una guía para crear organizaciones inspiradas en la siguiente etapa de la conciencia humana. Barcelona: Arpa; 2016.
Schwab K. The future of jobs report 2023. Geneva: World Economic Forum; 2023.
Drucker PF. Management challenges for the 21st century. New York: HarperBusiness; 1999.
Sadin É. La inteligencia artificial o el desafío del siglo: anatomía de un antihumanismo radical. Buenos Aires: Caja Negra; 2020.
Boyatzis R, Goleman D. Liderazgo resonante: el poder de la inteligencia emocional para transformar la organización. Barcelona: Kairós; 2017.
Tronto JC. Moral boundaries: a political argument for an ethic of care. New York: Routledge; 1993.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Alex O. Baraglia

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.










